Provider Directory API Specification
Provider Directory API Overview
Welcome to our Provider Directory API, designed in compliance with the CMS 9115-F regulations. This API facilitates secure and efficient access to a health insurer’s plan and network data, utilizing the HL7® FHIR® R4 standard, a globally recognized framework for health care information exchange.
What is an API?
API stands for “Application Programming Interface” and is a way for an application to interact with a server on the internet. The Provider Directory API allows an application to access a health insurer's plans, associated networks, and the organizations and providers participating in these networks.
The FHIR Capability Statement documents the behaviors of the FHIR server for a particular version of the FHIR standard. For more information, consult the official specificationOpens in a new tab.
Connecting Your Application
To connect your application to the Provider Directory API, you will need to ensure that your application supports the following standard:
The Provider Directory API FHIR endpoint is configured using the following implementation guides:
Use of the Provider Directory API does not require authentication as stipulated by the Plan Net implementation guide.
Profiles and Resources
The following list describes the resources currently supported:
Compliance and Security
Our APIs are built with a focus on security and compliance, adhering to CMS 9115-F regulations and implementing state-of-the-art security measures to ensure compliance with relevant privacy laws.
Support and Contact Information
Our dedicated Worldwide Response Center (WRC) team is available to assist you with any API-related queries. Contact us at email@example.com.